Fish, James

Fish, James was paid $37K by Medicaid between May 2018 and Nov 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoFISH, JAMES
SMYRNA, TN 37167

33aNPI1821046459assigned 05/05/2006

33bProvider typeOrthopaedic Surgery of the Spine Physician

28Total paid$37K

24GClaims1,365

24DCodes billed8

24AFirst – last monthMay 2018 – Nov 2020

Compared with peers

Next to other Orthopaedic Surgery of the Spine Physician providers in Tennessee

Rank by total paid#2 of 5

Median peer was paid$3K

This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	611	$14K
2019	403	$13K
2020	351	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	80%	976	864	$30K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	121	107	$5K
72100		4.5%	145	128	$2K
72040		2.6%	71	55	$955.82
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	14	13	$12.44
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	14	14	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	12	12	$0.00
1036F		0%	12	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.